Applicants must appear before an Acceptance Agent to have their signature witnessed. The Witnessing signature fee is $25.

Do NOT sign and date your application until you are instructed to do so by an Acceptance Agent.

Once the application is sealed by an Acceptance Agent, they will return it to you (Do not open or break the sealed package). The sealed package MUST be submitted to the U.S. State Department within five days.

If one of the consenting parents or legal guardians are unable to accompany the minor to your local
Acceptance Agency please complete the DS-3053 “Statement of Consent”.

If you are the applying parent or legal guardian and the written consent of the non-applying parent
or guardian cannot be obtained please complete the DS-3053 “Statement of Special Circumstances”. The statement must explain in
detail the non-applying parent's unavailability and recent efforts made to contact the non-applying
parent.

DS-3053 Form MUST be notarized and be accompanied with a photocopy of the
absent parent or legal guardian valid identification. The valid identification is only needed when
filling out the “Statement of Consent” portion of the DS-3053.

The Letters of Authorization enables The Passport & Visa Company to hand carry your expedited passport
application and certified documents into the US Department of State on your behalf. The LOA’s authorizes our agents to be
notified and address any potential problems that may arise during the passport expediting process.

Passport – Size Photographs

Identical taken within the last six months showing your current appearance

Color Photo

Full face, front view with a plain white or off-white background.

2x2 Passport sized between 1 inch and 1 3/8 inches from the bottom of the chin to the top of the
head.

Taken in normal street attire. Uniforms should not be worn in photographs except religious attire
that is worn daily.

Do NOT wear a hat or headgear that obscures the hair or hairline.

If you normally wear prescription glasses, a hearing device, wig or similar articles, they should be
worn for your picture.

Dark glasses or nonprescription glasses with tinted lenses are not acceptable unless you need them
for medical reasons. A medical certificate may be required.

Do NOT wear a white shirt

Proof of Personal Identification

Provide a COPY of ONE of the following from the Parent(s) or Legal Guardian(s):

A Valid Driver’s License

A Current Government Identification (city, state or federal)

A Current Military Identification (for military applicants and dependents)

A Previously Issued & Undamaged U.S. Passport

A Naturalization Certificate

Proof of U.S. Citizenship

Provide an ORIGINAL of ONE of the following

A Certified Copy of your Birth Certificate issued by the County, City, or State of Birth to INCLUDE the FULL NAMES of the applicant’s parent(s).

Short, abstract, novelty or hospital birth certificates are NOT acceptable.

Birth Certificates MUST include the following information and is referred to as the “long-form”

Applicants Full Name

Date of Birth

Place of Birth

Applicants Parents Full Name

A raised, embossed, impressed or multi-colored seal of the issuing authority

The Registrar’s Signature

The date the birth certificate was filed with the Registrar’s Office. NOTE: Must be filed within one year from date of birth.

A Previous Issued & Undamaged U.S. Passport

A Report of Birth Abroad (Form FS-240); or Certification of Birth Abroad (Form DS-1325); or Certificate of Citizenship.

A Naturalization Certificate from USCIS.

Present Evidence of Relationship to Minor (Special Circumstances)

IMPORTANT: Present relationship to a Minor if items 1 through 3 are applicable. Parent(s) or Legal
Guardian(s) must provide a one of the following as evidence of their relationship to the applying minor:

The Original or Certified copy of the Court Order documenting custody

The Original or Certified copy of the Court Order documenting guardianship

The Original or Certified copy of the Adoption Decree documenting the adopting parents’ names.

Proof of Travel

Copy of your international airline, bus, or cruise ticket or a round trip itinerary

If traveling by personal vehicle, an original letter from the applicant addressed to the US
Department of State-Passport Agency detailing your international travel plans.

An original, signed letter from your employer on the company’s letterhead, address to the US
Department of State – Passport Agency detailing your international travel.

Government Fees

Provide a check or money order made payable to the US Department of State for $140.00. NOTE: Please
indicate your Full Name and Date of Birth in the memo field of your check.

Example: (Pauline LeAnn Brazo 10-Oct-1980).

In lieu of providing a separate check, this government fee can be paid with the expedite fee as part
of your “Order.” The Passport and Visa Company will provide the check on your behalf to the
Department of State.

You must make an appearance at an Acceptance Agency to have your signature witnessed. You can look
up the closest witnessing facility location based on zip code by going toLocation FinderSome locations
require appointments. Each location will indicate the facility name, street address, city, and pubic
phone number, the hours of acceptance and the days.

Provide a check, money order, cash, or credit card payment for the Witnessing Execution Fee of
$25.00 at the Acceptance Agency. Note: Not all locations accept credit card payments and an
additional service fee may apply.

TPAVC Order Form

Please download and complete The Passport & Visa Company Order Form with your payment information. Accepted forms of payment include: American Express, Visa, MasterCard, Discover, Money Order, Cash or payment by Check.

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4005C Banister Lane - Suite 190C

Three Park Place, Austin, TX 78704

The Passport and Visa Company is based in Austin with operations in Houston and Dallas. We are an expedited passport renewal and expedited visa service with 24 hour turnaround for passports and travel visas for US Citizens and Foreign Nationals.